CN104000670B - Adjustable artificial valve's ring - Google Patents
Adjustable artificial valve's ring Download PDFInfo
- Publication number
- CN104000670B CN104000670B CN201310062050.8A CN201310062050A CN104000670B CN 104000670 B CN104000670 B CN 104000670B CN 201310062050 A CN201310062050 A CN 201310062050A CN 104000670 B CN104000670 B CN 104000670B
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- Prior art keywords
- ring
- segment
- ring segment
- regulation line
- regulation
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
- A61F2/2448—D-shaped rings
Abstract
The present invention provides a kind of adjustable artificial valve's ring, including ring body, this ring body is provided with the regulation line for regulating ring segment spacing.The present invention adjustable artificial valve ring structure is simple, reasonable, compact, overcome the shortcomings of prior art, after implanting adjustable artificial valve's ring, can realize the involutory degree of leaflet in valve repair by regulation ring segment spacing regulate and keep, be of value to the therapeutic effect remaining good long term.
Description
Technical field
The present invention relates to medical device technology, particularly relate to a kind of adjustable artificial valve's ring.
Background technology
It is enough the most right that the basis of heart Bicuspid valve and Tricuspid valve closure function is that mutually adjacent leaflet lobe edge has
Close the degree of depth (enough involutory areas), so investigate heart Bicuspid valve and Tricusp Valvuloplasty operation finally control
The standard of therapeutic effect is: whether complete the recovery of the involutory area of effective leaflet and the most involutory to thus complete
The holding at a specified future date of area.
During the pathological development of heart Bicuspid valve and tricuspid incompetence, all occur because incompetence produces
Blood reflux causes the overload state of left ventricle or right ventricle to left atrium or right atrium, then shows as a left side
Ventricle or the expansion of right ventricle, the expansion of ventricle is necessarily accompanied with the different of textural anomaly such as papillary muscles under leaflet lobe
Positions etc., this is the cardiac remodeling performance that most of patients the most necessarily presents.Existing heart Bicuspid valve and
Tricusp Valvuloplasty operation can be corrected pathological changes leaflet incompetence when operation and be recovered the involutory function of normal leaflet,
But the fact that could envisage that it is that the involutory area of leaflet that plastic operation recovers is result at once, because of the preoperative heart
The recovery of the chamber enlargement that room overload produces is irrealizable when performing the operation perioperative often, during operation and
The situation that under the expansion of Post operation ventricle in a short time and lobe, structure (such as papillary muscles dystopy) is abnormal still suffers from.Existing
The involutory area of leaflet having heart Bicuspid valve and Tricusp Valvuloplasty surgery recovery is still to have chamber enlargement and leaflet
Under lobe, structure recovers the involutory area of leaflet under physiological status the most completely；Along with the continuity of Post operation time, the heart
Room overload disappears and the ventricle of expansion is gradually reduced, and then structure (mainly papillary muscles) under leaflet lobe
Dystopy gradually alleviates and eliminates, and such result then can cause shaping, in surgical repair, the leaflet formed at that time
Involutory area due to papillary muscles return make chordae tendineae occur relatively performing the operation compared at that time relatively extend phenomenon and show down
Fall, say, that the involutory area of valve when valve repair and plastic operation should require ratio normal physiological lobe
The involutory area of film is larger, occurs that chordae tendineae extends under the involutory area that phenomenon causes relatively tackling Post operation
Fall is of value to the guarantee of the involutory function of valve at a specified future date；Here it is clinical heart surgical flap film healing plastic operation
The involutory area of valve " lays in " theory.
Therefore, the involutory degree of depth of leaflet completed when heart Bicuspid valve and Tricusp Valvuloplasty are performed the operation and area easily by
In reducing and the improvement of textural anomaly degree under leaflet lobe of Post operation 3～ventricle in June, occur that leaflet is involutory deeply
The planarization that becomes of degree and the decline of involutory area and artificial valve's ring (shape of a saddle) changes.Its result makes heart
The direct ventricular pressure skewness that Bicuspid valve and Tricusp Valvuloplasty Post operation leaflet especially lobe edge local are born
Weighing apparatus substantially increases, mitral valve ring and tricuspid ring plastotype function reduction and also reduce leaflet the most right
Close the guarantee of the degree of depth, have impact on the late result of valve repair plastic operation.
Design and research and development more reasonably artificial valve's ring, is ensureing that pathological changes annulus is performed the operation by prosthetic valve ring
While plastotype is corrected, artificial valve's ring physiology configuration is maintained to tend to and lobe when Bicuspid valve or Tricuspid valve operation
The effective involutory area of leaf, to ensure good surgical result at a specified future date, becomes urgently to be resolved hurrily asking
Topic.
Summary of the invention
It is an object of the invention to, for above-mentioned existing artificial valve's ring cannot adjust the involutory area of leaflet and
Lack the problem maintaining the involutory area of leaflet to ensure long term, propose a kind of adjustable artificial valve's ring, with reality
Now ensure the holding at a specified future date of the involutory area of effective leaflet and effective involutory area.
For achieving the above object, the technical solution used in the present invention is: a kind of adjustable artificial valve's ring,
Including ring body, this ring body is provided with the regulation line for regulating ring segment spacing.Described ring body is Bicuspid valve
Forming ring or Tricusp Valvuloplasty ring.
Further, described ring body is mitral valve forming ring, this ring body is provided with for regulating front ring segment
Regulation line with rear ring segment spacing.
Further, described mitral valve forming ring is shape of a saddle forming ring, the two of described shape of a saddle forming ring
In individual arcuate convex, higher arcuate convex is front ring segment, and relatively low arcuate convex is rear ring segment；Described
Two depression sections of shape of a saddle forming ring are respectively left ring segment and right ring segment.
Further, described artificial valve's ring is mitral valve forming ring, and described regulation line is one, described
Being symmetrically provided with two through wires holes in front ring segment, the peak of described rear ring segment is provided with a through wires hole,
Described regulation line activity is located in two through wires holes of leading portion ring, two ends of described regulation line from after
The through wires hole of ring segment passes.Preferably, in described front ring segment two through wires holes away from front ring segment peak away from
From for 1-3mm.
Further, described artificial valve's ring is mitral valve forming ring, and described regulation line is two, described
The peak of rear ring segment is provided with a through wires hole, and one end of two described regulation lines is fixed with being respectively symmetrically
In front ring segment, the point that two described regulation lines are fixed on front ring segment is fixing point, two described regulation lines
One end away from front ring segment passes from the through wires hole of rear ring segment.Preferably, described fixing point is away from front ring segment
The distance of high point is 1-3mm.
Further, described ring body is Tricusp Valvuloplasty ring, described Tricusp Valvuloplasty ring be by front ring segment,
Rear ring segment and the integral part of ring body with opening of spacer ring section, described rear ring segment be arranged on leading portion ring with every
Between Duan Huan, this ring body is provided with the regulation line for regulating front ring segment and spacer ring certain distance.
Further, described artificial valve's ring is Tricusp Valvuloplasty ring, and described regulation line is one, described
It is provided with two through wires holes in front ring segment, described spacer ring section is provided with a through wires hole, described regulation line
Activity is located in two through wires holes of leading portion ring, and two ends of described regulation line are from the threading of spacer ring section
Hole passes.In preferred described front ring segment two through wires holes be positioned at front ring segment closely after 1/3 of ring segment direction,
In described front ring segment, the distance of two through wires holes is 3-8mm.Through wires hole in described spacer ring section is positioned at spacer ring
The middle part of section.Further, described artificial valve's ring is Tricusp Valvuloplasty ring,
Described regulation line is two, and described spacer ring section is provided with a through wires hole, two described regulation lines
One end be separately fixed in front ring segment, the point that two described regulation lines are fixed on front ring segment is fixing point,
Two described regulation lines pass from the through wires hole of spacer ring section away from one end of front ring segment.Preferred described front ring
Upper two fixing points of section are positioned at 1/3 of the closely rear ring segment direction of front ring segment, and described front ring segment is fixed for two
The distance of point is 3-8mm.Through wires hole in described spacer ring section is positioned at the middle part of spacer ring section.
Further, described regulation line is Gore-Tex line.
Further, this ring body peripherally direction is arranged at intervals with multiple soft segment and hard segment.
Further, in two arcuate convex of described shape of a saddle forming ring, higher arcuate convex is front
Ring segment, relatively low arcuate convex is rear ring segment；Two depression sections of described shape of a saddle forming ring are respectively a left side
Ring segment and right ring segment；Described front ring segment and rear ring segment are hard segment, and described left ring segment and right ring segment are soft
Section.
Further, described mitral valve forming ring is shape of a saddle forming ring, the two of described shape of a saddle forming ring
In individual arcuate convex, higher arcuate convex is front ring segment, and relatively low arcuate convex is rear ring segment；Described
Two of shape of a saddle forming ring depression sections are respectively left ring segment and right ring segment, described front ring segment, left ring segment,
It is respectively arranged with linkage section between rear ring segment and right ring segment；Described front ring segment, left ring segment, rear ring segment and the right side
Ring segment is hard segment, and described linkage section is soft segment.
Further, the memorial alloy that described soft segment uses braiding degree of rarefication different with hard segment is made；
Or described soft segment is medical silicon strip or medical terylene is weaved cotton cloth, described hard segment is titanium alloy.
The present invention adjustable artificial valve ring structure is simple, reasonable, compact, has compared with prior art
Have the advantage that
A. tight adjustment of taking out of regulation line makes the adjustable front ring segment of artificial valve's ring and corresponding rear ring segment distance
Reduce, thus can make the involutory lobe edge degree of depth reach rational scope (the valve involutory edge degree of depth reach 8～
10mm), person obvious for chamber enlargement realizes " deposit " of the involutory degree of depth of lobe edge；
The most both after having made adjustable artificial valve's ring implant, the involutory area of leaflet has reached satisfactory state, adjusts
The existence of nodel line is the most meaningful: as a example by shape of a saddle forming ring, regulates line equal position on shape of a saddle forming ring
In the higher point of three-dimensional artificial ring, after knotting, just secure the distance of corresponding ring segment, the most constant maintain people
Work ring shape of a saddle state；Also make shape of a saddle state in ventricular diastole and Syst cardiac-cycle motion
Also can be kept, the beneficially buffering ventricular pressure that maintains of shape of a saddle state to the impact of lobe body and makes lobe
The maintenance at a specified future date of the effective involutory area of edge；Regulation line is also fixed because of regulation line in the application of non-shape of a saddle ring
Ring segment spacing thus beneficially leaflet involutory height or the maintenance at a specified future date of involutory area.
Accompanying drawing explanation
Fig. 1 is the axonometric chart of shape of a saddle forming ring；
Fig. 2 is the structural representation of the adjustable artificial valve's ring described in embodiment 1；
Fig. 3 is the axonometric chart of the adjustable artificial valve's ring described in embodiment 2；
Fig. 4 is the top view of Fig. 3；
Fig. 5 is that adjustable artificial valve's ring regulates pre-structure schematic diagram；
Fig. 6 is structural representation after the regulation of adjustable artificial valve's ring.
Detailed description of the invention
The invention discloses a kind of diseased heart annulus of reinventing is the adjustable of normal physiological shape and profile
Artificial valve's ring, for the surgical intervention of clinical heart annulus incompetence, this adjustable artificial valve's ring
Including ring body, this ring body is provided with the regulation line for regulating ring segment spacing.
In the concrete scheme of the present invention, adjustable artificial valve's ring is mitral valve forming ring or Tricusp Valvuloplasty
Ring.When adjustable artificial valve's ring is mitral valve forming ring, described ring segment spacing is front ring segment and rear ring
The spacing of section, regulation to 2～5mm is advisable；When described adjustable artificial valve is Tricusp Valvuloplasty ring,
Described ring segment spacing is front ring segment and the spacing of spacer ring section, and regulation to 2～5mm is advisable.
Mitral valve forming ring can be selected for conventional plane forming ring or has the shape of a saddle forming ring of three dimensional structure.
Mitral valve forming ring includes that ring body, described ring body are by front ring segment, rear ring segment, left ring segment and right ring segment one
The closing ring body that body is formed.The ring body shape of described shape of a saddle forming ring is such as referred to publication number
Forming ring disclosed in CN101374478A, the invention entitled valve forming ring for mitral valve prolapse.
In two arcuate convex of this shape of a saddle forming ring, higher arcuate convex is front ring segment, relatively low arch
Projection is rear ring segment, and two depression sections of shape of a saddle forming ring are respectively left ring segment and right ring segment.Conventional flat
The profile that the profile of face forming ring projects to plane with shape of a saddle forming ring is identical, front ring segment, rear ring segment,
Left ring segment is the most identical with the correspondence position of right ring segment.When the present invention adjustable artificial valve ring is that Bicuspid valve becomes
During shape ring, described regulation line is for regulating leading portion ring and the spacing of back segment ring.
When adjustable artificial valve's ring is mitral valve forming ring, regulation line can be adopted and arrange with the following method:
Described regulation line is one, and described front ring segment is symmetrically provided with two through wires holes, the most described front ring segment
Upper two through wires holes distance away from front ring segment peak is equal, and the peak of described rear ring segment is provided with one
Through wires hole, described regulation line activity is located in two through wires holes of leading portion ring, two of described regulation line
End passes from the through wires hole of rear ring segment.In front ring segment, two through wires holes distance away from front ring segment peak is
1-3mm.Or using two regulation lines, the peak of described rear ring segment is provided with a through wires hole, two
One end of described regulation line is fixed in front ring segment with being respectively symmetrically, and the most described fixing point is the highest away from front ring segment
The distance of point is equal, and the point that two described regulation lines are fixed on front ring segment is fixing point, two described regulations
Line passes from the through wires hole of rear ring segment away from one end of front ring segment.The fixing point distance away from front ring segment peak
For 1-3mm.
The using method of regulation line: after adjustable artificial ring conventional surgical techniques has been implanted, pull is certainly
The regulation line that rear ring segment through wires hole passes, tractive (shortening) regulation line adjusts ring segment before mitral valve forming ring
And the distance between rear ring segment, make the involutory degree of depth of leaflet and involutory area reach after satisfaction at regulation line
The ring segment knotting passing position is fixing, and regulation line stays in internal.
Tricusp Valvuloplasty ring is by the integral part of ring body with opening of front ring segment, rear ring segment and spacer ring section,
Described rear ring segment is arranged between leading portion ring and compartment ring, leaflet before described front ring segment correspondence, described rear ring
The corresponding posterior valve leaflet of section, described compartment ring correspondence membrane leaves.When the present invention adjustable artificial valve ring is tricuspid
During lobe forming ring, described regulation line is for regulating leading portion ring and the spacing of compartment ring.
When adjustable artificial valve's ring is Tricusp Valvuloplasty ring, regulation line can be adopted and arrange with the following method:
Described regulation line is one, described front ring segment is provided with two through wires holes, described spacer ring section is provided with
One through wires hole, described regulation line activity is located in two through wires holes of leading portion ring, described regulation line
Two ends pass from the through wires hole of spacer ring section.In preferred described front ring segment, two through wires holes are positioned at front ring
1/3 of Duan Jinhou ring segment direction, in described front ring segment, the distance of two through wires holes is 3-8mm.Described
Through wires hole in spacer ring section is positioned at the middle part of spacer ring section.
Or it is provided with a through wires hole in spacer ring section described in employing two regulation lines, two described regulation lines
One end is separately fixed in front ring segment, and the point that two described regulation lines are fixed on front ring segment is fixing point, and two
Described in root, regulation line passes from the through wires hole of spacer ring section away from one end of front ring segment.Preferred described front ring segment
Upper two fixing points are positioned at 1/3 of the closely rear ring segment direction of front ring segment, two fixing points in described front ring segment
Distance be 3-8mm.Through wires hole in described spacer ring section is positioned at the middle part of spacer ring section.
The using method of regulation line: after adjustable artificial ring conventional surgical techniques has been implanted, pull is certainly
The regulation line that rear ring segment through wires hole passes, tractive (shortening) regulation line adjusts ring segment before Tricusp Valvuloplasty ring
And the distance between spacer ring section, make the involutory degree of depth of leaflet and involutory area regulate line after reaching satisfaction
The ring segment knotting passing position is fixing, and regulation line stays in internal.
Regulation line of the present invention uses but is not limited to Gore-Tex line, is mainly composed of politef
Polytetraflouroethylene, abridge PTFE.
The effect (as a example by shape of a saddle mitral valve forming ring) of regulation line: the tight adjustment of taking out of a. regulation line makes
The front ring segment of mitral valve forming ring reduces with corresponding rear ring segment distance, thus the involutory lobe edge degree of depth can be made to reach
To rational scope (the involutory edge degree of depth reaches 8～10mm), person obvious for chamber enlargement realizes lobe edge
" deposit " theory of the involutory degree of depth；The most both, after having made mitral valve forming ring implant, the involutory area of leaflet is
Reaching satisfactory state, the existence of regulation line is the most meaningful: regulation line the application of shape of a saddle forming ring then due to
Regulation line all arises from the higher point of three-dimensional artificial ring, just secures the distance of corresponding ring segment after knotting, then permanent
Surely maintain artificial ring-saddle shape state, also make shape of a saddle state in ventricular diastole and Syst week aroused in interest
Also can be kept in phase motion, lobe body is rushed by the beneficially buffering ventricular pressure that maintains of shape of a saddle state
Hit and make the maintenance at a specified future date of the effective involutory area of lobe edge.Additionally, regulation line non-saddle-shaped ring application also because of
Ring segment spacing is secured thus the dimension at a specified future date of the beneficially involutory height of leaflet or involutory area for regulation line
Hold.
In the concrete scheme of the present invention, when adjustable artificial valve's ring is mitral valve forming ring, this ring body
Peripherally direction is also arranged at intervals with multiple soft segment and hard segment.Motion in view of mitral valve forming ring
Rule, described soft segment and hard segment are respectively two or are respectively four and are advisable.
In embodiment of the present invention, described mitral valve forming ring has shape of a saddle profile, can use four sections
Formula designs: in two arcuate convex of described shape of a saddle forming ring, higher arcuate convex is front ring segment,
Relatively low arcuate convex is rear ring segment；Two of described shape of a saddle forming ring depression sections be respectively left ring segment and
Right ring segment；Described front ring segment and rear ring segment are hard segment, and described left ring segment and right ring segment are soft segment.
In embodiment of the present invention, described mitral valve forming ring has shape of a saddle profile, it is possible to use eight
Segmentation designs: in two arcuate convex of described shape of a saddle forming ring, higher arcuate convex is front ring segment,
Relatively low arcuate convex is rear ring segment；Two of described shape of a saddle forming ring depression sections be respectively left ring segment and
Right ring segment, is respectively arranged with between described front ring segment, left ring segment, rear ring segment and the adjacent ring segment of right ring segment
Linkage section, a length of 5-8mm of described linkage section；Described front ring segment, left ring segment, rear ring segment and right ring segment
For hard segment, described linkage section is soft segment.
The ring body of mitral valve forming ring is spaced setting by soft segment and hard segment and forms, it should be appreciated that described
" soft " of soft segment and hard segment is relative with " firmly ", i.e. the hardness of soft segment is less than hard segment
Hardness.Two kinds of hardness can be selected from any material of currently manufactured mitral valve forming ring to there are differences
Material make the mitral valve forming ring of the present invention.Soft segment and hard segment can be respectively adopted different soft and hard
The material of degree is prepared, as described soft segment uses medical silicon strip or medical terylene to weave cotton cloth, and described hard
Duan Caiyong titanium alloy；The memorial alloy that soft segment may be used without with hard segment weaving degree of rarefication different is made,
Weave sparse memorial alloy hardness less, weave more closely knit memorial alloy hardness bigger.
In embodiment of the present invention, medical dacron fabric outside described ring body, can be coated with.
Fig. 1 is the axonometric chart of shape of a saddle forming ring in one embodiment of the present of invention, this shape of a saddle forming ring
Two arcuate convex in, higher arcuate convex is front ring segment, and relatively low arcuate convex is rear ring segment,
The short axle that distance is mitral valve forming ring of front ring segment peak A and rear ring segment peak P, saddle is formed
Two of shape ring depression sections are respectively left ring segment and right ring segment, the minimum point of left ring segment depression curvature be L and
The minimum point of right ring segment depression curvature is R；The identification point C1 having a common boundary before left ring segment instruction Bicuspid valve is with right
The major axis that distance is mitral valve forming ring between the identification point C2 that ring segment instruction PM has a common boundary, institute
The ratio stating short axle and major axis is 3: 4；And the peak A of the front ring segment of mitral valve forming ring, left ring segment are
The plane that minimum point R of low spot L and right ring segment is formed and rear ring segment peak P, the minimum point of left ring segment
Angle (140～150 degree) is had between the plane that minimum point R of L and right ring segment is formed.
Above-mentioned mitral valve forming ring peripherally direction is arranged at intervals with multiple soft segment and hard segment, by two points
The motion of lobe forming ring is divided into four, front, rear, left and right moving cell, forward and backward moving cell motion symmetry
Unanimously, the motion of left and right moving cell is symmetrical consistent, but forward and backward moving cell moves total track with left,
The right moving cell total track of motion is different.Described four moving cell structures meet or simulate physiological status
Time annulus of mitral valve can be with the feature of each cardiac cycle coordination exercise of heartbeat.
In the present invention, " four sections " ring segment or the forming ring of " eight sections " ring segment structure, it is achieved that Bicuspid valve
Forming ring is forward and backward and left and right form the respective of four main ring segment respectively because of the difference of material hardness
Activity space, the soft segment of mitral valve forming ring or hard segment Main Function are to maintain mitral valve forming ring mould
Intending the curvature of physiological annulus of mitral valve saddle structure, soft segment then echoes formation Bicuspid valve and becomes with hard segment
Shape ring tends to physiological mitral annular motion mode and the motor pattern of requirement, is applied to Bicuspid valve
In shape prosthesis, mitral valve forming ring can be with each cardiac cycle coordination exercise of heartbeat.
The present invention adjustable artificial valve ring, by arranging the regulation line that can regulate ring segment spacing, is conducive to dimension
Holding the involutory degree of depth of leaflet, be conducive to recovering the involutory area of normal leaflet, rational involutory area is adjustable
Formula artificial valve's ring is brought into normal play the mark of annulus physiological function, is also to maintain operative effect steady in a long-term
Important foundation.In addition when the present invention adjustable artificial valve ring is mitral valve forming ring, the periphery of ring body
Direction is arranged at intervals with multiple soft segment and hard segment, is divided into multiple motion single mitral valve forming ring motion
Unit, is applied in mitral valvuloplasty prosthesis, and mitral valve forming ring energy Unlimited cycle co-ordination is transported
Dynamic.
Embodiment 1
Fig. 2 is the structural representation of adjustable artificial valve's ring described in embodiment 1.
Present embodiment discloses and a kind of reinvent two points that pathological changes annulus of mitral valve is normal physiological shape and profile
Lobe forming ring, as in figure 2 it is shown, this mitral valve forming ring includes ring body, this ring body be by front ring segment 1,
Rear ring segment 2, left ring segment 3 and right ring segment 4 integral part of closing ring body, specifically, this ring body is envelope
The shape of a saddle forming ring with three dimensional structure closed, this ring body peripherally direction be arranged at intervals with four soft
Section and four hard segment.In two arcuate convex of shape of a saddle forming ring, higher arcuate convex is front ring
Section 1, relatively low arcuate convex is rear ring segment 2；Two depression sections of shape of a saddle forming ring are respectively left ring segment
3 and right ring segment 4, intersegmental point of the adjacent ring in front ring segment 1, left ring segment 3, rear ring segment 2 and right ring segment 4
It is not provided with linkage section 5, a length of 6mm of linkage section；Front ring segment 1, left ring segment 3, rear ring segment 2 and
Right ring segment 4 is hard segment, and linkage section 5 is soft segment.
Ring segment 1 before regulating it is provided with in the front ring segment 1 of the present embodiment mitral valve forming ring and rear ring segment 2
With the regulation line 6 of rear ring segment 2 spacing, this regulation line 6 is a Gore-Tex line, right in front ring segment 1
Being provided with two through wires holes with claiming, in front ring segment 1, two through wires holes distance away from front ring segment 1 peak is equal
For 2mm, the peak of rear ring segment 2 is provided with a through wires hole, and regulation line 6 activity is located in leading portion ring
In two through wires holes of 1, two ends of regulation line 6 pass from the through wires hole of rear ring segment 2.
The using method of the present embodiment mitral valve forming ring regulation line 6: conventional completing mitral valve forming ring
After operation method is implanted, the regulation line 6 that pull passes from rear ring segment through wires hole, tractive (shortening) regulates
Line 6 adjusts the distance between mitral valvuloplasty ring segment, makes the involutory degree of depth of leaflet and involutory area reach satisfied
Passing the ring segment knotting at position at regulation line 6 after degree fixing, regulation line 6 stays in internal.
By this regulation line 6 front ring segment of tractive 1 and rear ring segment 2, adjust between front ring segment 1 and rear ring segment 2
Distance, the height that before and after adjustment Bicuspid valve, flap edge is involutory, and then reach the involutory area of leaf before and after Bicuspid valve
Operation requirement, rational involutory area is that Bicuspid valve is brought into normal play the mark of bicuspid valve physiologic function, also
It it is the important foundation maintaining operative effect steady in a long-term.Should by the mitral valve forming ring with regulation line 6
In clinical operation, detection show to utilize regulation line 6 shorten mitral valve forming ring front ring segment 1 and after
Ring segment 2 spacing 2～3mm, it is possible to achieve locally the involutory height of leaflet increases by 1.5～2mm.
This mitral valve forming ring is surrounded by hollow out tube type material in whole memorial alloy, according to the hard softness of each ring segment
Requirement, realizes the difference of each ring segment motion amplitude, the note that hollow out is bigger by adjusting processing hollow out density difference
Recalling alloy rigidity less, the memorial alloy hardness that hollow out is less is bigger.It is also wrapped on doctor outside the present embodiment ring body
Use dacron fabric.
The distance of front ring segment 1 peak A and rear ring segment 2 peak P is short axle, left ring segment instruction two point
The identification point having a common boundary before lobe is major axis to the distance of the identification point that right ring segment instruction PM has a common boundary, short axle
It is 3: 4 with the ratio of major axis.The peak A of the front ring segment 1 of mitral valve forming ring, the minimum point of left ring segment 3
The plane that minimum point R of L and right ring segment 4 is formed and rear ring segment 2 peak P, left ring segment 3 minimum
The plane that minimum point R of some L and right ring segment 4 is formed has angle (140 degree).
Mitral valve forming ring peripherally direction is arranged at intervals with four soft segment and four hard segment, can follow one's inclinations
The dirty each cardiac cycle coordination exercise beaten: the front ring segment of paradoxical expansion 1 and rear ring segment 2 are the most inwardly
Displacement, left ring segment 3 and right ring segment 4 upwards inward displacement；The front ring segment of diastole 1 and rear ring segment 2
Upwards outward displacement, left ring segment 3 and right ring segment 4 upwards outward displacement.
The periphery direction of the present embodiment mitral valve forming ring is arranged at intervals with multiple soft segment and hard segment, by two
The artificial ring of cusp is divided into front ring segment 1, rear ring segment 2, left ring segment 3 and more than 4 moving cell of right ring segment, manually
The angle of the arch curvature of front ring and micro-arch curvature in rear ring stage casing and front plane of a loop and rear plane of a loop shape,
Design achieves artificial ring and maintains physiology " saddle " shape state, possesses artificial ring short major axis 3: 4 physiological proportions
With can realize the multiple function speciality of artificial mitral valve forming ring Unlimited cycle co-ordination motion, embody this
The advantage that the artificial ring of Bicuspid valve most physiological annulus of mitral valve tends to, is suitably applied clinical mitral valvuloplasty and repaiies
Multiple operation.
Embodiment 2
Fig. 3 is the axonometric chart of the adjustable artificial valve's ring described in embodiment 2；Fig. 4 is the top view of Fig. 3；
Fig. 5 is that adjustable artificial valve's ring regulates pre-structure schematic diagram；After Fig. 6 is the regulation of adjustable artificial valve's ring
Structural representation.
Present embodiment discloses and a kind of reinvent the Tricuspid valve that pathological changes tricuspid annulus is normal physiological shape and profile
Forming ring, as shown in Figure 3 and Figure 4, Tricusp Valvuloplasty ring is by front ring segment 1, rear ring segment 2 and spacer ring section 7
The integral part of ring body with opening, front ring segment 1 and spacer ring section 7 is provided with regulation line 6 for regulating
Leading portion ring 1 and the spacing of compartment ring 7.
This regulation line 6 is a Gore-Tex line, and front ring segment 1 is provided with two through wires holes, spacer ring section
Being provided with a through wires hole on 7, regulation line 6 activity is located in two through wires holes of leading portion ring 1, adjusts
Two ends of nodel line 6 pass from the through wires hole of spacer ring section 7.Specifically, two threading in front ring segment 1
Hole is positioned at 1/3 of the nearly rear ring segment direction of front ring segment 1, and in front ring segment 1, the distance of two through wires holes is
5mm, the through wires hole in spacer ring section 7 is positioned at the centre of spacer ring section 7.
The using method of regulation line 6: after Tricusp Valvuloplasty ring conventional surgical techniques has been implanted, such as Fig. 4
Shown in, rear ring segment 2 is arranged between leading portion ring 1 and compartment ring 7, leaflet before front ring segment 1 is corresponding, rear ring
The corresponding posterior valve leaflet of section 2, the corresponding membrane leaves of compartment ring 7.The regulation line 6 that pull passes from spacer ring section 7 through wires hole,
Tractive (shortening) regulation line adjusts the distance before Tricusp Valvuloplasty ring between ring segment 1 and spacer ring section 7, makes lobe
It is fixing that the involutory degree of depth of leaf and involutory area pass the ring segment knotting at position at regulation line 6 after reaching satisfaction,
Regulation line 6 stays in internal, as shown in Figure 5.
Embodiment 3
Disclosed in the present embodiment, mitral valve forming ring is substantially the same manner as Example 1, and except for the difference that the present embodiment is public
The ring body hardness of the mitral valve forming ring opened is identical, is prepared from by titanium alloy is one-body molded.
Mitral valve forming ring disclosed in the present embodiment can pass through this regulation front ring segment of line tractive and rear ring segment, adjusts
Front ring segment and rear ring segment spacing, the height that before and after adjustment Bicuspid valve, flap edge is involutory, and then recover normal
The involutory area of leaf before and after Bicuspid valve.
The present invention is not limited to the adjustable artificial valve's ring described by above-described embodiment, the setting of regulation line
The change of position and material is all within protection scope of the present invention.
Last it is noted that various embodiments above is only in order to illustrate technical scheme, rather than to it
Limit；Although the present invention being described in detail with reference to foregoing embodiments, the ordinary skill of this area
Personnel it is understood that the technical scheme described in foregoing embodiments still can be modified by it, or
The most some or all of technical characteristic is carried out equivalent；And these amendments or replacement, do not make phase
The essence answering technical scheme departs from the scope of various embodiments of the present invention technical scheme.
Claims (16)
1. adjustable artificial valve's ring, including ring body, it is characterised in that be provided with use on this ring body
Regulation line in regulation ring segment spacing；
Described ring body is mitral valve forming ring, this ring body is provided with for regulating between front ring segment and rear ring segment
Away from regulation line；
Described mitral valve forming ring is shape of a saddle forming ring, two arcuate convex of described shape of a saddle forming ring
In, higher arcuate convex is front ring segment, and relatively low arcuate convex is rear ring segment；The described shape of a saddle shapes
Two depression sections of ring are respectively left ring segment and right ring segment；
Described regulation line is one, and described front ring segment is symmetrically provided with two through wires holes, described rear ring
The peak of section is provided with a through wires hole, and described regulation line activity is located in two through wires holes of front ring segment
In, two ends of described regulation line pass from the through wires hole of rear ring segment；
In described front ring segment, two through wires holes distance away from front ring segment peak is 1-3mm.
Adjustable artificial valve's ring the most according to claim 1, it is characterised in that described regulation line
For Gore-Tex line.
Adjustable artificial valve's ring the most according to claim 1, it is characterised in that this ring body is along week
Edge direction is arranged at intervals with multiple soft segment and hard segment.
Adjustable artificial valve's ring the most according to claim 3, it is characterised in that described front ring segment
Being hard segment with rear ring segment, described left ring segment and right ring segment are soft segment.
Adjustable artificial valve's ring the most according to claim 3, it is characterised in that described front ring segment,
It is respectively arranged with linkage section between left ring segment, rear ring segment and right ring segment；Described front ring segment, left ring segment, after
Ring segment and right ring segment are hard segment, and described linkage section is soft segment.
6. according to the adjustable artificial valve's ring described in claim 4 or 5, it is characterised in that described soft
The memorial alloy that matter section uses braiding degree of rarefication different with hard segment is made；Or described soft segment is medical silicon
Bar or medical terylene are weaved cotton cloth, and described hard segment is titanium alloy.
7. adjustable artificial valve's ring, including ring body, it is characterised in that be provided with use on this ring body
Regulation line in regulation ring segment spacing；
Described ring body is mitral valve forming ring, this ring body is provided with for regulating between front ring segment and rear ring segment
Away from regulation line；
Described mitral valve forming ring is shape of a saddle forming ring, two arcuate convex of described shape of a saddle forming ring
In, higher arcuate convex is front ring segment, and relatively low arcuate convex is rear ring segment；The described shape of a saddle shapes
Two depression sections of ring are respectively left ring segment and right ring segment；
Described regulation line is two, and the peak of described rear ring segment is provided with a through wires hole, described in two
One end of regulation line is fixed in front ring segment with being respectively symmetrically, and two described regulation lines are fixed on front ring segment
Point is for fixing point, and two described regulation lines pass from the through wires hole of rear ring segment away from one end of front ring segment；
The described fixing point distance away from front ring segment peak is 1-3mm.
Adjustable artificial valve's ring the most according to claim 7, it is characterised in that described regulation line
For Gore-Tex line.
Adjustable artificial valve's ring the most according to claim 7, it is characterised in that this ring body is along week
Edge direction is arranged at intervals with multiple soft segment and hard segment.
Adjustable artificial valve's ring the most according to claim 9, it is characterised in that described front ring
Section and rear ring segment are hard segment, and described left ring segment and right ring segment are soft segment.
11. adjustable artificial valve's rings according to claim 9, it is characterised in that described front ring
Section, between left ring segment, rear ring segment and right ring segment, it is respectively arranged with linkage section；Described front ring segment, left ring segment,
Rear ring segment and right ring segment are hard segment, and described linkage section is soft segment.
12. according to the adjustable artificial valve's ring described in claim 10 or 11, it is characterised in that institute
State soft segment uses the memorial alloy weaving degree of rarefication different to make with hard segment；Or described soft segment is doctor
Weaving cotton cloth with silicon strip or medical terylene, described hard segment is titanium alloy.
13. 1 kinds of adjustable artificial valve's rings, including ring body, it is characterised in that be provided with on this ring body
For regulating the regulation line of ring segment spacing；
Described ring body is Tricusp Valvuloplasty ring, described Tricusp Valvuloplasty ring be by front ring segment, rear ring segment and every
The integral part of ring body with opening of ring segment, described rear ring segment is arranged between front ring segment and spacer ring section,
The regulation line for regulating front ring segment and spacer ring certain distance it is provided with on this ring body；
Described regulation line is one, and described front ring segment is provided with two through wires holes, described spacer ring Duan Shangshe
Being equipped with a through wires hole, described regulation line activity is located in two through wires holes of front ring segment, described regulation
Two ends of line pass from the through wires hole of spacer ring section.
14. adjustable artificial valve's rings according to claim 13, it is characterised in that described regulation
Line is Gore-Tex line.
15. 1 kinds of adjustable artificial valve's rings, including ring body, it is characterised in that be provided with on this ring body
For regulating the regulation line of ring segment spacing；
Described ring body is Tricusp Valvuloplasty ring, described Tricusp Valvuloplasty ring be by front ring segment, rear ring segment and every
The integral part of ring body with opening of ring segment, described rear ring segment is arranged between front ring segment and spacer ring section,
The regulation line for regulating front ring segment and spacer ring certain distance it is provided with on this ring body；
Described regulation line is two, and described spacer ring section is provided with a through wires hole, two described regulation lines
One end be separately fixed in front ring segment, the point that two described regulation lines are fixed on front ring segment is fixing point,
Two described regulation lines pass from the through wires hole of spacer ring section away from one end of front ring segment.
16. according to artificial valve's ring adjustable described in claim 15, it is characterised in that described regulation line
For Gore-Tex line.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310062050.8A CN104000670B (en) | 2013-02-27 | 2013-02-27 | Adjustable artificial valve's ring |
| PCT/CN2014/072391 WO2014131341A1 (en) | 2013-02-27 | 2014-02-21 | Adjustable prosthetic valve ring |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310062050.8A CN104000670B (en) | 2013-02-27 | 2013-02-27 | Adjustable artificial valve's ring |
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| CN104000670A CN104000670A (en) | 2014-08-27 |
| CN104000670B true CN104000670B (en) | 2016-12-28 |
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| CN201310062050.8A Active CN104000670B (en) | 2013-02-27 | 2013-02-27 | Adjustable artificial valve's ring |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104010593B (en) * | 2013-07-29 | 2016-05-25 | 金仕生物科技（常熟）有限公司 | Artificial heart valve forming ring |
| CN108478310A (en) * | 2018-06-08 | 2018-09-04 | 倪鸣 | A kind of tricuspid valve forming ring of adjustable length and angle |
| CN109620474B (en) * | 2018-11-24 | 2021-09-03 | 中国医学科学院阜外医院 | Extensible tricuspid valve forming ring |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN203263588U (en) * | 2013-02-27 | 2013-11-06 | 金仕生物科技（常熟）有限公司 | Adjustable artificial valve ring |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7951196B2 (en) * | 2004-04-29 | 2011-05-31 | Edwards Lifesciences Corporation | Annuloplasty ring for mitral valve prolapse |
| US8529620B2 (en) * | 2007-05-01 | 2013-09-10 | Ottavio Alfieri | Inwardly-bowed tricuspid annuloplasty ring |
| US8070803B2 (en) * | 2008-02-20 | 2011-12-06 | Peters Surgical | Universal annuloplasty system |
| US20090287303A1 (en) * | 2008-05-13 | 2009-11-19 | Edwards Lifesciences Corporation | Physiologically harmonized tricuspid annuloplasty ring |
| US20110160849A1 (en) * | 2009-12-22 | 2011-06-30 | Edwards Lifesciences Corporation | Bimodal tricuspid annuloplasty ring |
| CN202235773U (en) * | 2011-08-11 | 2012-05-30 | 北京市普惠生物医学工程有限公司 | Adjustable heart valve prosthesis annuloplasty ring |
| CN202699349U (en) * | 2012-07-05 | 2013-01-30 | 甄文俊 | Heart valve prosthesis forming ring |
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| CN203263588U (en) * | 2013-02-27 | 2013-11-06 | 金仕生物科技（常熟）有限公司 | Adjustable artificial valve ring |
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